초등학생의 신체활동, 좌식행동, 식이행동에 대한 권고사항 실천 패턴 및 상호관련성

Patterns and Interrelationships for Meeting Recommendations of Physical Activity, and Sedentary and Dietary Behavior in Elementary School Students

  • 김재우 (서울대학교 체육교육과) ;
  • 공성아 (서울대학교 체육교육과) ;
  • 이온 (서울대학교 체육교육과) ;
  • 김성수 (서울대학교 체육교육과) ;
  • 김연수 (서울대학교 체육교육과)
  • Kim, Jae-Woo (Dept. of Physical Education, Seoul National University) ;
  • Kong, Sung-A (Dept. of Physical Education, Seoul National University) ;
  • Lee, On (Dept. of Physical Education, Seoul National University) ;
  • Jin, Cheng-Zhu (Dept. of Physical Education, Seoul National University) ;
  • Kim, Yeon-Soo (Dept. of Physical Education, Seoul National University)
  • 발행 : 2009.03.30

초록

The purpose of this study was to analyze the patterns and interrelationships for meeting recommendations of physical activity, sedentary behavior, and dietary behavior in elementary school students. A cross-sectional design was used to assess 259 students ages 11 to 13 years. Physical activity (moderate to vigorous physical activity $\geqq$60min/day), sedentary behavior (viewing time for TV, computer, DVD, video, etc<3hr/day), and dietary behavior (servings of fruits and vegetables$\geqq$5times/day) were categorized into two levels: meeting recommendations or not meeting recommendations. Parents' health behaviors and home environmental variables were assessed with self-reported measures. Chi-squared tests and independent t-tests were conducted to compare anthropometric variables and the prevalence of students not meeting the recommendation for the three health behaviors. Comparison between males and females and logistic linear regression were used to determine the interrelationships of three health behaviors. 25.9% of students did not meet the physical activity recommendations. 15.4% did not meet sedentary behavior recommendations, and 41.7% did not meet dietary recommendation. Only 39.8% of students met all three recommendations, but 19.0% did not meet over two recommendations. Patterns that simultaneously did not meet two recommendations were: sedentary and dietary behavior in males (8.1%), and physical activity and dietary behavior in females (10.4%). Students who did not meet dietary recommendations were at greater risk of not meeting physical activity (OR 2.76; 95% CI 1.15 to 6.64), and sedentary behavior (OR 3.07; 95% CI 1.15 to 8.16) compared with students who did meet dietary recommendations. The findings of this study support not an independent behavior approach but a multiple behavior approach taking into account gender and interrelationships among the three behaviors.

키워드

참고문헌

  1. 김연희.조정환(2002) 초등학생의 신체활동습관, 신체구성, 식습관 행동과 체력수준 간의 관련성. 한국체육측정평가학회지 4(1), 63-81.
  2. 김현아(2004) 정상체중군과 비만군 아동의 가족요인과 식습관, 사회인지적 요인 비교. 아동간호학회지10(3), 300-310.
  3. 질병관리본부(2007) 제2차(2006년) 청소년건강행태 온라인조사 통계. (2008. 9. 29). http://healthy1318.cdc.go.kr.
  4. 정원엽(2000) 초등학생의 신체활동 배경과 체력 수준.서울여자대학교 교육대학원 석사학위논문.
  5. 조정환.송금주(2001) 초등학생의 비 신체적 활동 유형연구. 한국체육측정평가학회지 3(2), 55-75.
  6. Armstrong CA, Sallis JF, Alcaraz, JE, Kolody B, McKenzie TL, Hovell MF(1998) Children's television viewing, body fat, and physical fitness. American Journal of Health Promotion 12(6), 363-368. https://doi.org/10.4278/0890-1171-12.6.363
  7. Baranowski T, Cullen KW, Nicklas T, Thompson D, Baranowski J(2002) School-based obesity prevention: A blueprint for taming the epidemic. American Journal of Health Behavior 26(6), 486-493. https://doi.org/10.5993/AJHB.26.6.9
  8. Bell EA, Rolls BJ(2001) Energy density of foods affects energy intake across multiple levels of fat content in lean and obese women. The American Journal of Clinical Nutrition 73(6), 1010-1018.
  9. Berrigan D, Dodd K, Troiano RP, Krebs-Smith SM, Barbash RB(2003) Patterns of health behavior in U.S. adults. Preventive Medicine 36(5), 615-623. https://doi.org/10.1016/S0091-7435(02)00067-1
  10. Boynton-Jarrett R, Thomas TN, Peterson KE, Wiecha J,Sobol AM, Gortmaker SL(2003) Impact of television viewing patterns on fruit and vegetable consumption among adolescents. Pediatrics 112(6), 1321-1326. https://doi.org/10.1542/peds.112.6.1321
  11. Dietz WH, Gortmaker SL(2001) Preventing obesity in children and adolescents. Annual Review of Public Health 22, 337-353. https://doi.org/10.1146/annurev.publhealth.22.1.337
  12. Driskell MM, Dyment S, Mauriello L, Castle P, Sherman K(2008) Relationships among multiple behaviors for childhood and adolescent obesity prevention. Preventive Medicine 46(3), 209-215. https://doi.org/10.1016/j.ypmed.2007.07.028
  13. Eaton DK, Kann L, Kinchen S, Ross J, Hawkins J, Harris WA, Lowry R, McManus T, Chyen D, Shanklin S, Lim C, Grunbaum JA, Wechsler H (2006) Youth Risk Behavior Surveillance-United State, 2005. Morbidity and mortality weekly report. Surveillance summaries 55(5), 1-108.
  14. Epstein LH, Gordy CC, Raynor HA, Beddome M, Kilanowski CK, Paluch R(2001) Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity. Obesity Research 9(3), 171-178. https://doi.org/10.1038/oby.2001.18
  15. Gray VB, Byrd SH, Cossman JS, Chromiak J, Cheek WK, Jackson GB(2007) Family charateristics have limited ability to predict weight status of young children. Journal of the American Dietetic Association 107(7), 1204-1209. https://doi.org/10.1016/j.jada.2007.04.004
  16. Jakicic JM, Marcus BH, Gallagher KI, Napolitano M, Lang W(2003) Effect of exercise duration and intensity on weight loss in overweight, sedentary women; A randomized trial. Journal of the American Medical Association 290(10), 1323-1330. https://doi.org/10.1001/jama.290.10.1323
  17. Kvaavik E, Tell GS, Klepp KI(2003) Predictors and tracking of body mass index from adolescence into adulthood: Follow-up of 18 to 20 years in the Oslo Youth Study. Archives of Pediatrics &Adolescent Medicine 157(12), 1212-1218. https://doi.org/10.1001/archpedi.157.12.1212
  18. Kremers SPJ, De Bruijn GJ, Schaalma H, Brug J(2004) Clustering of energy balance-related behaviours and their intrapersonal determinants. Psychology and Health 19(5), 595-606. https://doi.org/10.1080/08870440412331279630
  19. Lowry R, Wechsler H, Galuska DA, Fulton JE, Kann L(2002) Television viewing and its associations with overweight, sedentary lifestyle, and insufficient consumption of fruits and vegetables among US high school students: Differences by race, ethnicity, and gender. The Journal of School Health 72(10), 413-421. https://doi.org/10.1111/j.1746-1561.2002.tb03551.x
  20. McNaughton SA, Mishra GD, Stephen AM, Wadsworth ME(2007) Dietary patterns throughout adult life are associated with body mass index, waist circumference, blood pressure, and red cell folate. The Journal of Nutrition 137(1), 99-105.
  21. Motl RW, McAuley E, Birnbaum AS, Lytle LA(2006) Naturally occurring changes in time spent watching television are inversely related to frequency of physical activity during early adolescence. Journal of Adolescence 29(1), 19-32. https://doi.org/10.1016/j.adolescence.2005.01.005
  22. Pate RR, Freedson PS, Sallis JF, Taylor WC, Sirard J, Trost SG, Dowda M(2002) Compliance with physical activity guidelines: Prevalence in a population of children and youth. Annals of Epidemiology 12(5), 303-308. https://doi.org/10.1016/S1047-2797(01)00263-0
  23. Patrick K, Norman GJ, Calfas KJ, Sallis JF, Zabinski MF, Rupp J, Cella J(2004) Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence. Archives of Pediatrics & Adolescent Medicine 158(4), 385-390. https://doi.org/10.1001/archpedi.158.4.385
  24. Pronk NP, Anderson LH, Crain AL, Martinson BC, O'Connor PJ, Sherwood NE, Whitebird RR(2004) Meeting recommendations for multiple healthy lifestyle factors: Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. American Journal of Preventive Medicine 27(2S), 25-33.
  25. Puyau MR, Adolph AL, Vohra FA, Butte NF(2002) Validation and calibration of physical activity monitors in children. Obesity Research 10(3), 150-157. https://doi.org/10.1038/oby.2002.24
  26. Puyau MR, Adolph AL, Vohra FA, Zakeri I, Butte NF(2004) Prediction of activity energy expenditure using accelerometers in children. Medicine and Science in Sports and Exercise 36(9), 1625-1631.
  27. Robinson TN(2001) Television viewing and childhood obesity. Pediatric Clinics of North America 48(4),1017-1025. https://doi.org/10.1016/S0031-3955(05)70354-0
  28. Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Cella J, Patrick K(2007) Patterns and correlates of physical activity and nutrition behaviors in adolescents. American Journal of Preventive Medicine 32(2), 124-130. https://doi.org/10.1016/j.amepre.2006.10.012
  29. Steinbeck KS(2001) The importance of physical activity in the prevention of overweight and obesity in childhood: A review and an opinion. Obesity Research 2(2), 117-130. https://doi.org/10.1046/j.1467-789x.2001.00033.x
  30. Telama R, Yang X, Viikari J, Väalimaki I, Wanne O, Raitakari O(2005) Physical Activity from childhood to adulthood: A 21-year tracking study. American Journal of Preventive Medicine 28(3), 267-273. https://doi.org/10.1016/j.amepre.2004.12.003
  31. Zabinski MF, Daly T, Norman GJ, Rupp JW, Calfas KJ, Sallis JF, Patrick K(2006) Psychosocial correlates of fruit, vegetable, and dietary fat intake among adolescent boys and girls. Journal of the American Dietetic Association 106(6), 814-821. https://doi.org/10.1016/j.jada.2006.03.014